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CACS, MACS & RACS – WHAT TO EXPECT IN 2009

1 cacs /MACs/RACs Dec , MACS & RACS cacs , MACS & RACS what TO EXPECT IN 2009 what TO EXPECT IN 2009 Presented to GASCO University December 3, 20082 cacs /MACs/RACs Dec 2008 Presented by:Presented by:Karen BeardKaren BeardDirector Director Georgia Society of Clinical Oncology3 cacs /MACs/RACs Dec 2008 Medicare Carrier Advisory Committee Medicare Carrier Advisory Committee (CAC)(CAC) Georgia s Part B Carrier is CAHABA GBA. The region covered by CAHABA has included Alabama, Georgia and Mississippi Until early 2005, all three states had 3 separate Medical Directors and three sets of Local Carrier Determinations affecting oncology. Medicare law requires a CAC for each state, but only 1 medical director per jurisdiction4 cacs /MACs/RACs Dec 2008 GASCO sGASCO sRelationship Relationship with The Georgia CACwith The Georgia CAC Meetings are at least 3 times per year in Atlanta During that time GASCO can: discuss comments to draft LCDs; request revisions to existing LCDs; and bring additional oncology specialists to provide comments orscientific data on oncology related topics.

CACs/MACs/RACs – Dec 2008 3 Medicare Carrier Advisory Committee (CAC) • Georgia’s Part B Carrier is CAHABA GBA. • The region covered by CAHABA has included Alabama, Georgia and Mississippi • Until early 2005, all three states had 3 separate Medical Directors and three sets of Local Carrier

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